Neurology Book

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Headaches in ChildrenAka: Cephalgia in Children

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  1. See Also
    1. Headache
  2. Epidemiology
    1. Incidence of Headache
      1. Age 7 years or older: 33% (frequent in 2.5%)
      2. Age 15 years or older: 50% (frequent in 15%)
    2. Gender predominance
      1. Before Puberty: Boys
      2. After Puberty: Girls
  3. Causes
    1. Common primary Headaches in children
      1. Migraine Headache
      2. Tension Headache
    2. Uncommon primary Headaches in children
      1. Young Children
        1. Hemiplegic Migraine Headache
        2. Ophthalmoplegic Migraine
      2. Older Child, Adolescent and Young adult
        1. Temporomandibular Joint Disorder
        2. Basilar Migraine Headache (female adolescents)
        3. Paroxysmal Hemicrania
          1. Similar to Cluster Headache without Lacrimation
        4. Cluster Headache (rare in children)
        5. Occipital Neuralgia
  4. Differential Diagnosis
    1. Infection
      1. Meningitis
      2. Upper Respiratory Infection
      3. Acute Sinusitis
      4. Pharyngitis
    2. Intracranial Cause
      1. Intracranial mass
      2. Hydrocephalus
      3. Subarachnoid Hemorrhage
    3. Medications, drugs, and toxins
      1. See Medication Causes of Headache
      2. See Migraine Headache Triggers
      3. See Tyramine-Vasoactive Amines
    4. Miscellaneous Causes
      1. Hypertension
  5. Evaluation
    1. See Headache History
    2. See Headache Examination
    3. See Headache Diagnostic Testing
    4. Consider Organic Headache
      1. Evaluate Headache Red Flags
    5. Headache Timing
      1. Acute Headache
        1. Acute Generalized Headache
        2. Acute Localized Headache
        3. Acute Recurrent Headache
      2. Chronic Headache
        1. Chronic Progressive Headache
        2. Chronic Non-Progressive Headache
  6. Management
    1. See Headache General Measures
    2. Treat specific Headache type
      1. See Migraine Headache Management in Children
  7. References
    1. Lewis (2002) Am Fam Physician 65(4):625
    2. Winner (1997) Postgrad Med 101(5):81

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